| Lutheran Social Services Of Illinois | |
|
402 Kishwaukee St Ste 101 Rockford IL 61104-2041 | |
| (815) 964-8637 | |
| Not Available |
| Full Name | Lutheran Social Services Of Illinois |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 402 Kishwaukee St, Rockford, Illinois |
| Authorized Official Name and Position | Greerann Hamblet (BUSINESS MANAGER) |
| Authorized Official Contact | 8473901422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lutheran Social Services Of Illinois 1001 E Touhy Ave Ste 170 Des Plaines IL 60018-5801 Ph: () - | Lutheran Social Services Of Illinois 402 Kishwaukee St Ste 101 Rockford IL 61104-2041 Ph: (815) 964-8637 |
| NPI Number | 1194104661 |
|---|---|
| Provider Enumeration Date | 05/29/2015 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194104661 | NPI | - | NPPES |
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